1.やさしい
Alpha-1 antitrypsin deficiency is an inherited cause of which lung disease?
- AEmphysema
- BPneumothorax
- CAsthma
- DLung cancer
2.やさしい
Which finding on abdominal examination suggests an abdominal aortic aneurysm?
- ALoud, high-pitched bowel sounds
- BA dull area that shifts when the patient turns
- CA tender lump in the right iliac fossa
- DA pulsating mass around the umbilicus
3.やさしい
What is the compression-to-ventilation ratio for adult CPR?
- A5 compressions to 1 breath
- B50 compressions to 5 breaths
- C30 compressions to 2 breaths
- D15 compressions to 2 breaths
4.ふつう
COPDにおける呼吸リハビリテーションとは何ですか?
- A毎年冬に自宅で行う、経口ステロイドと抗菌薬の投与
- B息切れを和らげる、監督下の運動と教育
- C肺の最も障害された部分を切除する手術
- D6か月ごとに繰り返す肺機能検査
5.ふつう
What is the main difference between CPAP and bilevel NIV (often called BiPAP)?
- ABilevel NIV adds a higher inspiratory pressure, helping remove CO₂
- BCPAP is given only through a tracheostomy
- CBilevel NIV gives oxygen only, without any positive airway pressure
- DCPAP is mainly used to lower a raised PaCO₂ in COPD exacerbations
6.ふつう
How big should a suction catheter be compared with the tracheostomy or endotracheal tube?
- ANo more than half the internal diameter of the tube
- BAny size, as the diameter does not matter
- CLarger than the tube, so that it clears it completely
- DExactly the same diameter as the tube, for a tight fit
7.むずかしい
A patient with a stab wound to the chest has a hole that sucks air with each breath. What is the immediate management?
- APack the wound tightly with gauze pushed deep into the chest
- BSeal it completely with tape on all four sides and leave it alone
- CCover it with a vented chest seal or a dressing taped on three sides
- DLeave it open and give a nebuliser
8.むずかしい
The monitor shows a regular broad-complex tachycardia at 180/min. The patient is alert with BP 126/78 mmHg and no chest pain. What is the most appropriate plan?
- ARecord a 12-lead ECG, call senior help and anticipate an antiarrhythmic
- BStart chest compressions straight away and give a dose of IV adrenaline
- CReassure the patient, as this is a normal rhythm
- DDeliver an unsynchronised shock immediately, before any other assessment
解答
- 1. A · Emphysema
- 2. D · A pulsating mass around the umbilicus
- 3. C · 30 compressions to 2 breaths
- 4. B · 息切れを和らげる、監督下の運動と教育
- 5. A · Bilevel NIV adds a higher inspiratory pressure, helping remove CO₂
- 6. A · No more than half the internal diameter of the tube
- 7. C · Cover it with a vented chest seal or a dressing taped on three sides
- 8. A · Record a 12-lead ECG, call senior help and anticipate an antiarrhythmic
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